BLS OES Green Jobs BLS OES Green Jobs Form - Panel 4

Occupational Employment Survey Forms Design and Pilot Testing for the BLS Green Practices and Processes Project

GTP Panel 4 form-v4

OES Green Practices and Processes Forms Design and Pilot Testing Project

OMB: 1220-0182

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P hase 2 Panel 4

Green Technologies and Practices

O.M.B. No. 1220−0182

Expires 12/31/11


Shape2

  • Please provide information only for the location in number 1 below, even if you have more than one location.

  • Please return the form within 15 days to reduce follow-up costs.

  • Please complete this form even if you do not use any green technologies or practices at your location.

  • Need help? Send an e-mail to: [email protected], or call 1-800-341-3660.

Shape3

I

1

f the physical location address shown below is no longer correct, please provide corrections in the space provided.



ATTN:

Enter address corrections here

Owner

Company Name Inc.

Shape4 Report for:

1 Main St. Suite 111

Winooski, ST 11111


W

2

hat was the total employment at this location as of May 12, 2011?



I

Enter total employment here

Enter corrections here

nclude: Do Not Include:

Enter total employment here


For incorporated firms – paid owners, officers, and staff • For unincorporated firms – owners, proprietors, and partners

Shape5 Total number of full- and part-time paid workers Unpaid family workers

Workers assigned temporarily to other locations Workers on unpaid leave

Workers not covered by unemployment insurance

Contractors and temporary agency employees not on your

payroll


O

3

ur records show that your main products or services are related to those listed below. If they are not, please list your main products or services in the space provided and continue with the rest of the survey.

C


urrent product or service description:

R

Enter corrections here

enting consumer electronics equipment and appliances,

sShape6 uch as televisions, stereos, and refrigerators. Included in this

industry are appliance rental centers.



D

4

id your location use any of the following green technologies or practices?



Column A:

Please indicate whether this location has actively used the type of green technology or practice listed during the pay period including May 12, 2011.

Column B:

For any green technologies or practices used at this location during that same pay period, please indicate whether there were any employees at this location who spent any of their time involved in:

  • researching, developing, maintaining, using, or installing technologies or practices to lessen the environmental impact of their establishment, or

  • training the establishment’s workers in these technologies or practices.

Please include employees on the establishment’s payroll. Do not include contract employees or consultants when completing Column B.

The types of employees to include are listed in Question 2 on Page 1.




Column A

Column B

Item

Type of green technology or practice

Examples

Did your location …?

Did any of your employees …?


Energy from Renewable Sources and Energy Efficiency

1

Generate electricity, heat, or fuel from renewable sources primarily for use within your establishment?

Wind • Biomass

Geothermal • Solar

Ocean • Hydropower

Landfill gas • Municipal solid waste



Yes, If Yes



No



Does not apply


Shape10

Shape11 Yes No

2

Use technologies or practices to improve energy efficiency within your establishment?

Energy Star rated appliances

Occupying a LEED certified building

Energy efficient lighting

Programmable thermostats

Cogeneration (combined heat and power)

Energy efficient manufacturing equipment



Yes, If Yes



No



Does not apply



Shape13

Shape15 Yes No



Greenhouse Gas Reduction and Pollution Reduction & Removal

3

Use technologies or practices in your operations to reduce greenhouse gas emissions through methods other than those listed in Items 1 and 2 above (renewable energy generation and energy efficiency)?

Purchase and use of carbon offsets

Promotion and/or subsidy of alternative forms of transportation for employees, such as carpools, fuel efficient vehicles, cycling, or mass transit

Implementation of a telework program for employees



Yes, If Yes



No



Does not apply





Shape18 Shape17 Yes No

4

Use technologies or practices to either reduce the creation or release of pollutants or toxic compounds as a result of operations, or to remove pollutants or hazardous waste from the environment?

Carbon monoxide

Sulfur dioxide

Chlorofluorocarbons (CFCs)

Nitrogen oxides

Chlorinated hydrocarbons

Herbicides or pesticides

Heavy metals

Radioactive contamination



Yes, If Yes



No



Does not apply





Shape21

Shape22 Yes No



Recycling & Reuse and Natural Resources Conservation

5

Use technologies or practices to reduce or eliminate the creation of waste materials as a result of your operations?

Collecting and reusing or recycling waste

• Managing wastewater

Composting solid waste

Remanufacturing


Yes, If Yes




No


Does not apply






Shape26 Shape25 Yes No

6

Use technologies or practices in your operations to conserve natural resources? Please do not include using recycled inputs in your production processes.

Managing land resources

Managing storm water

Conserving soil, water, or wildlife

Implementing organic agriculture or sustainable forestry practices



Yes, If Yes



No



Does not apply



Shape29

Shape30 Yes No

Shape31

Other technologies or practices not included previously. Please describe.

7











  • YShape32 es



Yes No

8











  • YShape33 es



Yes No


Please complete Question 5 on the next page.



P

5

lease provide the total number of employees who spent more than half of their time involved in the green technologies or practices reported in Question 4 in the pay period including May 12, 2011.



  • P

    Enter the number of

    employees involved in green activities here.

    lease count each employee only once, even if they are included in Question 4 Column B more than once.

  • PShape35 lease do not include contractors or consultants working at your location that are not on your location’s payroll.

  • If no employees spent more than half of their time on green activities, enter zero.

If you entered zero, please skip to Question 7.

If you entered one or more employees, please complete Question 6.


Shape36




W

6

hat are the occupations and wages of the employees reported in Question 5 who spent more than half of their time involved in green technologies and practices?

  1. Complete for employees who spent more than half of their time in green activities in Question 5.

  2. Please provide a job title, brief description of duties, and the number of workers by wage category in the space provided.

  3. Report part-time employees at their hourly rate.


A

B

C

D

E

F

G

H

I

J

K

L

Total
























HourlyWages

under 9.25

$9.25

- 11.49

$11.50 - 14.49

$14.50 - 18.24

$18.25 - 22.74

$22.75 - 28.74

$28.75 - 35.99

$36.00 - 45.24

$45.25

- 56.99

$57.00

- 71.49

$71.50

- 89.99

$90.00 and over

























Salary

under $19,240

$19,240 - 23,919

$23,920 - 30,159

$30,160 - 37,959

$37,960 - 47,319

$47,320 - 59,799

$59,800 - 74,879

$74,880 - 94,119

$94,120 - 118,559

$118,560 - 148,719

$148,720

- 187,199

$187,200 and over

 









































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Shape38














Example:

Job Title: Hydrologist





Number of your employees with this salary or hourly wage for this job title






Total number of your employees with this job title

(3 in this example)




























Job Description: Researches water usage and implements wastewater treatment plans




1Shape39



Shape40

2




Shape41

3





























































Job Title:





































Job Description:















 

























A

B

C

D

E

F

G

H

I

J

K

L

Total

























Question 6 Continued Hourly

Wages

under 9.25

$9.25

- 11.49

$11.50 - 14.49

$14.50 - 18.24

$18.25 - 22.74

$22.75 - 28.74

$28.75 - 35.99

$36.00 - 45.24

$45.25

- 56.99

$57.00

- 71.49

$71.50

- 89.99

$90.00 and over

 

























Salary

under $19,240

$19,240 - 23,919

$23,920 - 30,159

$30,160 - 37,959

$37,960 - 47,319

$47,320 - 59,799

$59,800 - 74,879

$74,880 - 94,119

$94,120 - 118,559

$118,560 - 148,719

$148,720 - 187,199

$187,200 and over

 































































Job Title:






































Job Description:















 































































Job Title:






































Job Description:















 































































Job Title:






































Job Description:















 































































Job Title:






































Job Description:















 































































Job Title:






































Job Description:














































































Job Title:






































Job Description:















 


























If you need additional space, please copy this page and attach the completed page(s) to this form.

If done, please complete Question 7.







































7

Please tell us who provided the information on this form for:



Green Technologies and Practices: Occupations and Wages:


Check here, if the same person as green technologies & practices

Contact Name:


Contact Name:






E-Mail:


E-Mail:






Job Title:


Job Title:






Business Website:


Business Website:






Phone Number:


Phone Number:




Thank you for completing this survey.

Please return this form in the enclosed envelope to:



Attn: Bureau of Labor Statistics Green Jobs

Strategic Research Group

995 Goodale Blvd.

Columbus, OH 43212



Confidentiality Statement. The Bureau of Labor Statistics, its employees, agents, and partner statistical agencies, will use the information you provide for statistical purposes only and will hold the information in confidence to the full extent permitted by law. In accordance with the Confidential Information Protection and Statistical Efficiency Act of 2002 (Title 5 of Public Law 107-347) and other applicable Federal laws, your responses will not be disclosed in identifiable form without your informed consent. This report is authorized by law 29 U.S.C. 2. Paperwork Reduction Act Statement. Your voluntary cooperation is needed to make the results of this survey comprehensive, accurate, and timely. We estimate that completing this form will take an average of 20 minutes. This estimate takes into account time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information. If you have any comments regarding this survey, including suggestions for reducing the burden, send them to the Bureau of Labor Statistics, Office of Occupational Employment Statistics, Paperwork Reduction Project, 2 Massachusetts Avenue, N.E., Room 2135, Washington, DC 20212. The OMB control number for this voluntary survey is 1220-0182 and expires on December 31, 2011. Without a currently valid number BLS would not be able to conduct this survey.

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